[ Help Main ] > [ Main Menu ] > [ Patient Search ] > Patient Search Results ] > [ Patient Menu ] > [ Conducting a New Office Visit ] > Diagnosis

Tips:

  • You can quickly edit dropdown lists by using "Edit..." at the bottom of every dropdown list or auto complete list.
  • SynaMed has implemented drug-to-drug and allergy-to-drug interaction warning messages. This feature is here to assist you in detecting potential drug and allergy interactions and should not be used as a sole source of medication information. Please consult the packet inserts of the drugs or the pharmaceutical company of the drug(s) you are prescribing.

To eliminate the time-consuming process of searching for patient's diagnoses and matching ICD9 codes, SynaMed provides you with the dynamic and unique patented feature for suggesting diagnoses.

Functional Items Description
Suggest Diagnosis
  • Suggest Diagnosis provides you with a list of possible diagnoses based on information you provide through ROS, Med History and Physical Exam.
  •  Each clinical finding is tagged with a universal diagnosis code called the ICD-9.

Note: All suggested diagnoses are purged after exiting a patient note. You have to click Suggest Diagnosis to get the list of suggestions back again the next time you return to this page.
Activate/Inactivate/Add Diagnosis

·        If you want to activate the given suggested diagnosis, you can make your selection of status from the dropdown list which is initially set to “Suggested”.  

·        Selecting “Active” or “Inactive” from the dropdown list pops up the “Add Diagnosis” window below.

·        When a suggested diagnosis is selected to be active, an Add Diagnosis window will be prompted with a list of more specific ICD-9 codes. If the suggested ICD-9 code is the most specific ICD-9 of its diagnosis class, only this particular ICD-9 code will be listed for selection.

·        Clicking Add, the suggested diagnosis will be made active.

·        Diagnoses cannot be deleted but can be made inactive when a suggested or active diagnosis is selected to be inactive.

·       You also have the capability to add diagnoses. Diagnoses are searchable by key words or by ICD-9 codes.

 
Delete Suggested Users can eliminate all suggested diagnoses by selecting this button. Only active and inactive diagnoses will remain.

The results are determined from the ROS, Medication History, and Physical Exam sections. Each clinical finding is tagged with a universal diagnosis code called the ICD-9 and are suggested by the program. With SynaMed, physicians are given intelligent suggestions of ICD-9 codes in which selections are made.

NOTE: Office visit information is saved every time you move onto a new tab or by clicking "Save and Go To Patient Menu". You may experience multiple listings of the same visit for a day. Select the session that you might have digressed from earlier and continue with that session. All other sessions for that day can be ignored or marked for deletion. Please exercise precaution when deleting office visit(s).

FAQ:

Is there a way for me to turn off suggest diagnosis in the problems section?

Yes, just un-check the “Automatically Suggest Diagnosis” checkbox.

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